Tag Archives: leadership

Celebrate nurses, but more importantly listen to them

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May 6-12 is National Nurses Week. According to a Gallup Poll, nursing has been the most trusted profession for the past 16 years. It’s no surprise.Nurses Week (002)

Those of us with nurses in our family are grateful that there is someone we can turn to with health questions. They help us navigate complex healthcare systems when we have a worrisome condition and need to see specialists and subspecialists. I’m fortunate to have nurses in my family. I am grateful to them and know that I should never take them for granted.

As the President of the American Nurses Association, Pamela Cipriano, PhD, RN, said, “Nurses provide much more than bedside care. We advocate for patients, deliver primary care, meet the complex needs of patients with chronic conditions, volunteer for disaster relief efforts, and are a trusted voice in boardrooms across the country.”

When my daughter first considered a nursing career back in the early 2000’s, I was very supportive. I thought that with her personality, people focus, and an incredible ability to multi-task she would be an excellent nurse. I told her that she could take many different paths as a nurse over time. She already had a bachelors degree in Hospitality Administration/Management with a minor in Business, so she decided to attend a combined nursing/nurse practitioner (NP) program to get her BS in Nursing and her Masters in Science and Nursing.

She worked as a bedside nurse, first on a cardiac surgery stepdown unit and then on a cardiac surgery ICU. Her first nurse practitioner opportunity was working with patients who have atrial fibrillation (known as Afib). She later moved to orthopedics where she is now the Chief NP on a busy and growing inpatient ortho unit.

She balances clinical patient care with administrative responsibilities. And she is always looking at how to improve processes and care. Continue reading →

Never underestimate the power of a woman

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I had the opportunity at HIMSS18 to meet several women entrepreneurs who have started their own companies and many women seeking career advice. They are impressive and inspiring. I loved hearing canstockphoto20402689 power business womanthe entrepreneurs’ stories, what lead them to start their own business and the challenges they have overcome. Women looking for career advice didn’t hesitate to approach me and introduce themselves. They asked very focused questions as they reflect on their current situation and consider future options.

The annual #HealthITChicks meetup organized by Jenn Dennard included a panel titled “Making Ladders Lateral”. It was great fun to be part of the panel and hear others’ stories. The recap can be found here and is an easy, quick read.

At the Career Fair, I did a presentation on “Advice for the Aspiring Female Executive” covering current trends and tips for next generation leaders.

Hot off the press, I shared information from the 2018 HIMSS Compensation Survey that showed both good and bad news regarding the gender pay gap. The survey results show that gender pay disparity is persistent. The pay gap is back at the level it was in 2006 after getting worse for a few years. On average women are paid 18% less than men, or said another way, females are paid $0.82 for every $1.00 their male peer is paid. Getting back to the same level as 12 years ago can’t be considered real progress.

The good news is that for women under age 35 and non-management staff, there is very little difference in pay between men and women. The bad news is that the gap for women over 55 and those at the executive level continues. I conclude that this is due to the cumulative effect that years of disparity has had and creates a gap that is very hard to resolve.

I talked about an excellent article from a few years ago, “The Confidence Gap”, by Katty Kay and Claire Shipman published in The Atlantic. I highly recommend reading it to understand that “success correlates just as closely with confidence as it does with competence” and “that with work, confidence can be acquired”.

And I focused on leadership and tips for next generation leaders which I shared in a previous post. Here they are again if you missed them the first time: Continue reading →

Tune in: recommendations for IT podcasts

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How do you keep up with industry news? Do you have a favorite online publication? Are you a reader or a listener? I find myself struggling to keep up with everything I want to read. But I’m doing better, now, with canstockphoto33796857 podcastat least tracking on the headlines and top industry news stories.

For all you busy multi-taskers who may be looking for an alternate way to educate yourself and stay current, 20-30 minute podcasts are a great option. Whether you’ve got a long daily commute, need something to listen to while working out at the gym or while walking the dog, consider listening to podcasts.

Here are some podcast series worth checking out:

This Week in Health IT – This is a new program launched by Bill Russell, CEO at Health Lyrics, focusing on news of the week and a topic of interest. He publishes online every Friday afternoon. I was honored to be on the program last week. We covered the Amazon, JP Morgan, Berkshire Hathaway announcement and the Apple health records app story. Both are examples of the disruptive forces we are seeing in healthcare. Bill and I also talked about the evolving role of the CIO and shared our favorite social media posts of the week.

HealthSystemCIO.com – Anthony Guerra and Kate Gamble have been conducting extensive one-on-one interviews with CIOs for several years. They publish them online as multi-chapter series. These interviews provide insight and experiences for everyone in health IT.  And if you’d rather read the interviews, they are also available as full transcripts. Continue reading →

Find your voice, a mentor, and be bold

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The week started with #Oprah2020 trending on Twitter. If you missed Oprah’s inspirational speech at the Golden Globes on Sunday night you can find it on YouTube. Who doesn’t love Oprah? But, should we canstockphoto13471338 (002) mentorelect another president who lacks government experience?

But these aren’t the questions I want to address. A Slate article by Dahlia Lithwick got my attention on Monday. She said the real message of Oprah’s speech wasn’t about her but about us. Do we feel empowered enough to act. She focused on women running for office at all levels. And that led me to think more about empowerment.

While that buzz was happening on Monday, I was in a daylong meeting with a small group of women leaders from various industries. We had been brought together by the first female president of a large, national organization to discuss the challenges women in leadership face. It was an insightful discussion as stories were shared, dissected, and analyzed.

As I bring this back to health IT, I’m not going to rehash the stories and lessons from my experience as a female IT leader over the years. I’ve shared some of them in previous posts. Rather, I want to again encourage you to take steps to own your career and find ways to develop yourself. Find your voice and speak up. Find the mentors you need to help you. And be bold.

HIMSS18 is less than 2 months away. To get the most out of the annual conference you need to make choices and plan your time there carefully. There are many ways to invest in “you” while there, including education and networking.

I’ve had the opportunity to present at many previous HIMSS conferences on a range of topics. This year, I was asked to support the Career Fair and the Women in HIT sessions. I’m committed to developing the next generation of leaders, so I gladly said yes! Continue reading →

The silence breakers, long overdue

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It’s been boiling for years, decades. It’s been in the headlines for months. This week Time Magazine recognized the enormity of this sea change and named the women they call “the silence breakers” as canstock120817 girl powerPerson of the Year. Women who have come forward and named the men who have sexually harassed and abused them. And Time did not forget those still too afraid to speak out.

I started a blog post a few weeks ago that I was going to call “I believe the women”.  But I was unsure how to approach the topic, and I set it aside and covered other subjects. I had commented on the topic when the Harvey Weinstein story was breaking in October in my post, “Time to support, not harass women”. This week, I  have decided to write about three unique programs that are committed to developing girls and women.

The sea change or watershed moment, as news commentators call it these days, is long overdue. And it is not over. It has just begun. There will be more women speaking out, more denials, and ultimately more men facing up to what they have done. More industries and sectors  will be affected, although Hollywood and politicians will be the most talked about stories.

Let’s advance this sea change by talking about ways to develop strong girls and women. Let’s provide them with every opportunity they deserve in a society that treats them equally and with respect.  Sticking with that theme, here are those three programs I mentioned:

Girls, Inc. is a national program which inspires all girls to be “strong, smart, and bold”. I recently learned about it at the CHIME Fall Forum in San Antonio. The Women of CHIME group hosted a session titled “Breaking Down Barriers and Paving the Way”. The program featured Lea Rosenauer, President and CEO of Girls Inc. of San Antonio. She discussed issues that prevent women from career advancement and suggested  strategies to get women into leadership roles. Continue reading →

HIMSS Stage 7: what does it take?

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This week, I participated in another HIMSS Analytics Acute Care EMRAM Stage 7 review team as the CIO reviewer. During the opening presentations by the organization’s leadership, I leaned over to theHIMSS EMRAM 2018

full-time HIMSS reviewer to say, “They are hitting it out of the ballpark”. By the end of the day, our three-person review team had indeed reached that conclusion. The full-time reviewer said, “Some organizations barely clear the bar but this one far exceeded it.”

Only 6.1% of hospitals have achieved Stage 7.  What does it take?

On review day, the review team is presented with information that includes a system overview, including governance, clinical and business intelligence, health information exchange, and plans for disaster recovery and business continuity.

The review team has been given a 17-page document that includes checklists for each major clinical area.

Several case studies are presented that demonstrate how the organization has used the system to improve clinical care.

The organization prepares for this visit for months, developing the case studies and verifying they have met every specific criterion. The full-time reviewer spends time on the phone reviewing their readiness.

Achieving Stage 7 takes teamwork throughout the organization to fully leverage all aspects of the vendor’s product. It takes engagement and passion from executives and clinicians.

The organization we were reviewing implemented their EMR according to these guiding principles: Continue reading →

Time to support, not harass women

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With the latest sexual harassment and abuse stories in the news, I am reminded once again how important it is for women to speak up. We need to encourage women and girls to pursue their dreams, canstockphoto13989561and support them when they face obstacles.

Like other women leaders, I try to be a role model for young women in all that I say and do. I try to speak up and take on the tough issues that women face in the work world. I encourage young women to figure out who is on their “team you”. And most importantly, I tell them not to put up with crap, from anyone.

I have written many posts over the past few years on women and work and done several talks focused on encouraging and developing women.

Here are some of those posts that you might find useful and maybe even inspiring these days:

Yes we can: women in health IT

Powerful women and their path to success

Investing in the success of others

Equal pay, who can argue?

#ILookLikeAnEngineer

Balancing career and family

I challenge you to look at your own practices and ensure you are doing all you can to support women in your organization so they are comfortable speaking up, able to overcome obstacles they face, and can actually thrive and advance.

Humanitarian crisis, American crisis

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A week after Hurricane Maria devastated Puerto Rico, we are hearing that this United States territory is facing a humanitarian crisis. That is a phrase we have all heard before about poor countries in other partscanstockphoto18234898 of the world – it could be the result of a natural disaster or a civil war. A crisis like this saddens us, but it’s usually so far away, and we just move on.

What is a “humanitarian crisis”? Wikipedia defines it as “a singular event or a series of events that are threatening in terms of health, safety or well being of a community or large group of people”. Another way of saying it – when the basics of life are unavailable – food, water, transportation, healthcare, and communications.

Puerto Rico is us, yes US. It is not somewhere far away. It is 1000 miles from Miami. 3.5 million people live in Puerto Rico. It is 3 times the size of Rhode Island – in square miles and in population.

Less than 50% of Puerto Ricans have running water. The entire island is without power, the power grid has been destroyed. Only 29 of 69 hospitals on the island are operational. Hospitals still open are running on generators and quickly running out of fuel. In the capital city of San Juan, 2 people on life support died when their hospital’s generators ran out of diesel.

Interviews with San Juan Mayor Carmen Yulin Cruz on MSNBC brought this home. She could not have been more articulate in her plea for federal help. As she talked about the dire situation and the reality of hospitals running out of power, she described them as places to care for and heal people, not to be death traps.

Luis Guiterrez, U.S. Representative from the Illinois 4th congressional district, whose parents were born in Puerto Rico described in vivid terms what the elderly are going through there. He asked us to think about what it would be like for our own elderly parents who may live alone. What if they didn’t have access to food or water and they needed insulin. He called for the U.S. military to go in and quickly set up a power and communications infrastructure as we know they can and do in wartime.

The USNS Comfort is larger than many of the largest hospitals in this country with 1000 beds. Continue reading →

HIEs matter

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We have watched with sadness as Hurricane Harvey has flooded first southeast Texas and now Louisiana. We have seen the spirit of the American people at its best. Volunteers from around the countrycanstockphoto30688369 have brought their own boats to rescue residents while thousands have donated money and supplies. As of Thursday morning, there had been over 25,000 water rescues.

Hospitals are meant to operate and care for patients 24/7 through a disaster. But they too were impacted by the rising waters. I took a break mid-day yesterday to watch the news. I saw in that 15-minutes the evacuation of patients from Baptist Hospital in Beaumont, Texas after the city lost its water supply. Without clean water, the hospital had to close and transfer 190 patients.

Patients, many in wheelchairs, needing dialysis treatment were being boarded onto Black Hawk helicopters by teams of doctors and nurses. They were being handed over to military medics to be flown to a hospital in Jasper, Texas – 70 miles away.

The last step in the transfer process was a clinician giving a folded-up paper to the medic. She had stuffed it under her shirt until that point so it didn’t blow away in the wind from the helicopter propellers. We know that this critical paper handoff probably happened over and over this week as patients were transferred to other facilities.

In this age of electronic medical records (EMRs) and health information exchanges (HIEs), we hope that piece of paper is a backup document. Transfers within a health system with a common EMR should be able to rely on the system for access to critical patient information. Health systems that participate in HIEs should be able to rely on some level of data exchange and access between health systems and their disparate EMRs.

I was encouraged to see two health IT articles this week – “As Harvey Devastates Houston, HIE Leaders Move in to Help” in Healthcare Informatics, and “What’s Next for Health Information Exchanges?” in Healthcare IT News. The first article describes the power of the HIE in Texas; portals have been set up in the many shelters so clinicians can access critical health information as they care for people in need of medical attention. The second article talks about the future needs that HIEs could meet and their potential benefits as healthcare continues to evolve. Continue reading →

Living your values

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This is not about who you voted for in 2016.

This is not about whether you neatly compartmentalize your political persuasions and don’t talk politics at work.

This is about standing up for what you believe and living your values.canstockphoto9176405

The six CEOs who left the president’s manufacturing council after Charlottesville may have done it to protect their businesses and profits. But I will give them the benefit of the doubt; they were unwilling to work with a president who cannot call white supremacists and neo-Nazis what they are.

The last to leave before the remaining members agreed to disband was AFL-CIO President Richard Trumka. He made the strongest and clearest statement of all. He announced he was leaving the council late Tuesday after President Trump defended his original statement on Charlottesville, blaming both sides. “We cannot sit on a council for a President who tolerates bigotry and domestic terrorism,” the organization said in a statement. “President Trump’s remarks today repudiate his forced remarks yesterday about the KKK and neo-Nazis. We must resign on behalf of America’s working people, who reject all notions of legitimacy of these bigoted groups.”

Ken Frazier was the first CEO to step down after Charlottesville. “As CEO of Merck, and as a matter of personal conscience, I feel a responsibility to take a stand against intolerance and extremism,” he said in a statement. He was the only African American CEO on the council and is the only one singled out publicly and criticized by the President.

We live and work and play and study in a global society with great diversity. I embrace that diversity.

When I am coaching leaders I challenge them to share their values with the people they lead. I challenge them to envision the leader they want to be and to take concrete steps to become that leader. And I always encourage them to put aside personal agendas and do what is right for their organization. Continue reading →